Diagnostic Ultrasound

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Diagnostic Ultrasound

Faster answers. Greater precision. Better-informed treatment. 

Diagnostic ultrasound is a powerful clinical tool that allows our physiotherapists to see exactly what is happening inside your body in real time, without radiation, and without the wait of an external referral. At Mayfair Health, diagnostic ultrasound is used as an integral part of our clinical assessment process, providing the structural detail that enables us to be more precise, more confident and more effective in the way we treat you. 

Rather than relying on clinical examination alone, your physiotherapist can use ultrasound imaging to visualise tendons, muscles, ligaments, bursae and other soft tissue structures directly, identifying the pathology contributing to your pain and tailoring your treatment accordingly. When necessary, findings are also used to facilitate timely referral to sports physicians, orthopaedic consultants or other specialist clinicians within our trusted network.

  • Integrated with your clinical assessment: Ultrasound is not a standalone add-on, it is used as part of a thorough clinical consultation, combining imaging with examination to build a complete picture 
  • Performed by your physiotherapist: At Mayfair Health, diagnostic ultrasound is carried out by your treating clinician, meaning findings are interpreted and applied in the context of your full clinical presentation 
  • No waiting for external imaging: Same-appointment scanning means you leave with answers and a clear treatment plan, rather than waiting weeks for an external appointment 
  • Direct access to specialist referral: Where findings indicate the need for further investigation or medical input, we have established relationships with leading sports physicians, orthopaedic consultants and radiologists to ensure swift, joined-up care 
  • Real-time guidance for rehabilitation: Ultrasound is also used therapeutically for real-time core and pelvic floor activation feedback, diastasis recti assessment and biofeedback-guided rehabilitation 

Diagnostic musculoskeletal ultrasound uses high-frequency sound waves to produce real-time images of soft tissue structures beneath the skin. Unlike X-ray or MRI, ultrasound is dynamic. It can show how a tendon or muscle behaves during movement, not just what it looks like at rest. It is safe, non-invasive, painless and produces no ionising radiation. 

In a musculoskeletal setting, ultrasound is particularly effective for assessing tendons, where it can identify thickening, tearing, calcification and tendinopathic change with a high degree of accuracy. It is also widely used to assess muscle integrity, detect fluid collections and bursitis, and guide clinical decision-making around injection therapy or onward referral.

At Mayfair Health, diagnostic ultrasound is used to assess a wide range of soft tissue structures, including: 

  • Tendons: Rotator cuff, Achilles, patellar, hamstring, gluteal, biceps and other tendons – identifying tendinopathy, partial or full tears, and calcification 
  • Muscles: Assessment of muscle tears, strains, haematoma and structural changes following injury 
  • Ligaments: Ankle, knee and other ligamentous structures where ultrasound can contribute useful information alongside clinical testing 
  • Bursae: Identification of bursitis and fluid collections contributing to pain and restriction 
  • Nerves: Assessment of peripheral nerve thickening or entrapment in relevant clinical presentations 
  • Abdominal and pelvic structures: Real-time assessment of diastasis recti and core and pelvic floor activation as part of women’s health and postnatal rehabilitation 

As Part of Your Physiotherapy Assessment 

In most cases, diagnostic ultrasound is used within your physiotherapy appointment. Your clinician will carry out their usual clinical assessment and incorporate scanning where it will add meaningful information. You do not need a separate appointment or referral. The images are reviewed immediately, discussed with you in the room, and factored directly into your diagnosis and treatment plan. 

Facilitating Onward Referral 

Where ultrasound findings suggest the need for medical input, such as a significant tendon tear requiring consideration of injection or surgical management, or pathology that warrants MRI or specialist review. Your physiotherapist will use the imaging to support a prompt, well-informed referral to the appropriate clinician. Our established relationships with sports physicians, orthopaedic consultants and radiologists mean this process is fast and seamless. 

Biofeedback and Rehabilitation 

Real-time ultrasound is also used as a biofeedback tool in rehabilitation, particularly in women’s health, where it allows both patient and clinician to see pelvic floor and deep abdominal muscle activation directly. This is especially valuable in postnatal rehabilitation, diastasis recti management and core retraining following injury or surgery. 

  • Rotator cuff tendinopathy and tears 
  • Achilles tendinopathy and rupture 
  • Patellar and quadriceps tendinopathy 
  • Hamstring and gluteal tendinopathy 
  • Plantar fasciitis 
  • Hip bursitis and greater trochanteric pain syndrome 
  • Shoulder impingement and bursitis 
  • Muscle tears and haematoma 
  • Ankle ligament and tendon injuries 
  • Calcific tendinopathy 
  • Diastasis recti and core rehabilitation 
  • Pelvic floor dysfunction and postnatal rehabilitation
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FAQs

Frequently Asked Questions

Is diagnostic ultrasound safe?

Yes. Diagnostic ultrasound uses sound waves, not radiation. It is completely safe, non-invasive and painless. There are no known risks associated with musculoskeletal ultrasound scanning. 

No. You can self-refer directly to Mayfair Health. If ultrasound is clinically indicated as part of your assessment, your physiotherapist will discuss this with you at your appointment. 

No, each imaging modality has different strengths. X-ray is best suited to bony structures. MRI provides detailed imaging of soft tissue, bone and joints and is particularly useful for complex or deep structures. Ultrasound is dynamic, it can image soft tissue in real time, during movement, and is particularly effective for tendons, muscles and superficial structures. Your clinician will advise on the most appropriate imaging for your presentation, and can refer for MRI or X-ray where indicated. 

Not necessarily, ultrasound is used when it will add clinically meaningful information to your assessment. Your physiotherapist will discuss whether scanning is appropriate and beneficial for your specific presentation. 

Ultrasound-guided injection is a specialist procedure carried out by sports physicians and radiologists, not physiotherapists. Where your clinical presentation and ultrasound findings suggest that injection therapy may be beneficial, your physiotherapist will refer you to the appropriate clinician within our network. 

This varies between insurers and policies. We recommend contacting your insurer in advance to confirm your level of cover. Our team is happy to help with any queries.

Google Reviews

Check out our Google Reviews and see how we’ve helped others

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Lamia Diani
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I have recently started one to one Pilates sessions with Gary, and I can’t recommend him highly enough. He is incredibly professional, knowledgeable, and genuinely attentive. He pays close attention to every detail and tailors each session to work around my injury, which has made a huge difference to my confidence and progress. I really appreciate the care and thought he puts into every session, and I always leave feeling stronger and more positive. If you’re looking for a fantastic Pilates instructor, Gary is the one to see.
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Ilaria Pefano
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I had a very positive experience with Adriana P. She is a knowledgeable and attentive instructor, with strong expertise in pregnancy Pilates. The exercises were always appropriate and well tailored, but what I appreciated most was her genuine care for how I was feeling, she constantly checked that I was comfortable and adapted each session to my needs on the day. She supported me with professionalism and reassurance throughout such a special time, making me feel safe and very well looked after!
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Sara
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I’ve been doing private Pilates sessions with Adriana for over a year and can genuinely recommend her. She is a fantastic Pilates teacher. She adapts each session to you, pays close attention to form, and corrects your form with clear and precise cues.
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Mira Goubran
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I love the place. Staff are very friendly and helpful. All pilates instructors are very professional. But special thanks to Adriana Papa. She helped me a lot in understanding and loving Pilates. It became part of my life style and also helped me with my back and neck pain. She listened carefully to my concerns, and helped me improve. And I actually recommend it to all my friends.
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Shelley Richardson
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I am really impressed with Mayfair Health and the attention given to detail. My physio is looking after me first class.
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Sophie Trotzig
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Rachel Davies has helped me so much with my back and hips. A holistic way of working and putting together a programme that’s really helped me staying consistent and enjoyable at the same time. Couldn’t recommend her enough
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alessia tarantino
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I came in completely blocked at neck and upper back level. After just a few sessions Jack Musgrave worked wonders. Extremely skilled, knowledgeable, and attentive, with a really effective approach. On top of being highly professional, he also makes you feel comfortable and supported. Truly excellent – I couldn’t recommend more!
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Anabelle
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Amazing physio. Horrible coffee bar service. Ordered a drink for the first and last time. Patronising service.
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M
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I absolutely love this Pilates studio! The atmosphere is calm and clean The instructor Adriana is amazing.. she’s professional, patient, and really pays attention to every detail. I’ll definitely continue with them .. this place is my favorite now!
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Othman Alkassabi
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I tried their service in personal training physio, and Pilates. The trainers are so professional and cater for your personal needs This place is a must visit if you are in London and you want to be in good health
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Based in Mayfair, with further clinics in Marylebone, South Kensington and Liverpool Street, we offer you an excellent diagnostic ability to allow you the fastest route to recovery or optimising your health with our physiotherapy, movement, pilates, personal training, nutrition and medical screening.

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